Richard Donovan SR.

NPI #1861193591 in Imperial, California

Provider Information

NPI Number: 1861193591
Entity Type: Individual
Name: Richard Donovan SR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Mar 10, 2023
Last Updated: Mar 10, 2023

Practice Location

Address: 199 W MARINA COURT
City: Imperial
State: California
ZIP Code: 92251
Phone: (760) 550-8287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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